[Conservative treatment in major kidney trauma]

Area of Science:

• Nephrology
• Trauma Surgery
• Urology

Background:

• Renal trauma is common in penetrating abdominal injuries.
• Major renal trauma can lead to severe complications like urinoma.
• Surgical intervention, often nephrectomy, is typically required for such severe injuries.

Observation:

• A case of major renal trauma with a total kidney fracture and urinoma formation is presented.
• The urinoma had separated both segments of the fractured kidney.
• The patient underwent a minimally invasive procedure.

Findings:

• Percutaneous drainage was employed as the minimally invasive maneuver.
• The patient experienced a favorable outcome following the procedure.
• The intervention successfully avoided the need for surgical nephrectomy.

Implications:

• Percutaneous drainage is a viable and effective treatment for complex renal trauma with urinoma.
• Minimally invasive approaches can potentially spare kidneys in cases of severe trauma.
• This case highlights the importance of considering less invasive options in managing renal injuries.